MEDICARE: MEMORIAL HOSPITAL AT GULFPORT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1275785560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEMORIAL HOSPITAL AT GULFPORT

Provider Business Mailing Address
First Line	:	PO BOX 555
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39533-0555
Country	:	US
Telephone Number	:	228-865-1453
Fax Number	:	228-865-1457

Provider Business Practice Location Address
First Line	:	4333 15TH ST
Second Line	:	SUITE A
City	:	GULFPORT
State	:	MS
Zip	:	39501-2525
Country	:	US
Telephone Number	:	228-863-4000
Fax Number	:

Authorized Official
Title or Position	:	VP FINANCE
Name	:	MR. JEFF T STEINER
Credential	:
Telephone Number	:	228-865-3106

Provider Enumeration Date	:	10/17/2008
Last Update Date	:	01/03/2011

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1770323180 — BRITTANY LEANN PIPKINS FNP-C
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1841034147 — LINDSEY BRAY NP
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Directions to “MEMORIAL HOSPITAL AT GULFPORT ” Practice Location

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